Individual provider Active NPI

Alyssa Visalli, MA, LMHC

  • Mental Health Counselor
  • New Port Richey, FL
National Provider Identifier
1366736076
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 10787 Issued in FL
Practice address
7702 Massachusetts Ave
New Port Richey, FL 34653-3024
Phone
(727) 847-0069
Fax
(727) 849-3780
NPI assigned
May 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 10787 FL Primary

Addresses

Primary practice location

7702 Massachusetts Ave
New Port Richey, FL 34653-3024

Mailing address

7702 Massachusetts Ave
New Port Richey, FL 34653-3024
Phone (727) 847-0069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116003382 FL Practitioner - Mental Health Counselor 0648666313 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH 10787FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Services, Inc Mental Health CurrentSince Dec 15, 2021 Accepting new patients

Locations

7702 Massachusetts Ave
New Port Richey, FL 34653
Phone (727) 847-0069

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1366736076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 MASSACHUSETTS AVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346533024",
            "telephone_number": "727-847-0069",
            "fax_number": "727-849-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 MASSACHUSETTS AVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346533024",
            "telephone_number": "727-847-0069",
            "fax_number": "727-849-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISALLI",
        "first_name": "ALYSSA",
        "name_prefix": "Miss",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 10787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.